Active NPI
Michael C Marshall, LCSW
- Clinical Social Worker
- Waterford, CT
National Provider Identifier
1972029494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 10591
- Practice address
- 112 Great Neck Road
Empowerment Counseling Services, LLC
Waterford, CT 06385 - Phone
- (860) 235-2388
- NPI assigned
- Aug 16, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 10591 | CT | Primary |
| Social Worker | 104100000X | 3903 | CT |
Addresses
Primary practice location
112 Great Neck Road
Empowerment Counseling Services, LLC
Waterford, CT 06385
Mailing address
112 Great Neck Rd
Waterford, CT 06385-3504
Phone (860) 235-2388
Other practice location 1
2 Cliff St
Norwich, CT 06360-5850
Phone (860) 887-6536
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10591 | CT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliance Health, Inc | Clinical | Past | Accepting new patients |
| Empowerment Counseling Services, LLC | Social Worker | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- New Haven, CT
- NPI 1851881965
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Norwich, CT
- NPI 1578855508
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557619200000",
"number": "1972029494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 GREAT NECK RD",
"city": "WATERFORD",
"state": "CT",
"postal_code": "063853504",
"telephone_number": "860-235-2388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 GREAT NECK ROAD",
"address_2": "EMPOWERMENT COUNSELING SERVICES, LLC",
"city": "WATERFORD",
"state": "CT",
"postal_code": "06385",
"telephone_number": "860-235-2388"
}
],
"practiceLocations": [
{
"address_1": "2 Cliff St",
"address_purpose": "LOCATION",
"city": "Norwich",
"state": "CT",
"postal_code": "063605850",
"country_code": "US",
"telephone_number": "860-887-6536",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARSHALL",
"first_name": "MICHAEL",
"middle_name": "C",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-16",
"last_updated": "2019-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "10591",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CT",
"license": "3903",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.